Kinesiophobia Post Total Hip Arthroplasty: A Retrospective Study

Abstract

Introduction One of the major psychological factors that can affect the outcome of hip arthroplasty is postoperative kinesiophobia, which is defined as a fear of movement. The effect of kinesiophobia and excruciating pain has not been widely explored in hip arthroplasty literature especially in Saudi Arabia. Aim This study aimed to investigate kinesiophobia and pain catastrophizing after total hip arthroplasty (THA) in King Fahad Hospital, Hofuf, Saudi Arabia. Materials and methods This is a retrospective cross-sectional study conducted at King Fahad Hospital, Hofuf, Saudi Arabia. Using a validated self-administered questionnaire, participants were questioned telephonically. Questionnaires included basic demographic characteristics, Tampa Scale of Kinesiophobia (TSK), and Numerical Analogue Scale (NAS). Data were tabulated in MS Excel and all statistical analyses were performed using Statistical Package for the Social Sciences (SPSS) version 21 (IBM Corp., Armonk, NY). Results Seventy-four patients were recruited (60.8% females vs 39.2% males). The TSK mean score was 40.7 (SD 8.88) while the mean NAS score was 5.45 (SD 2.79). The prevalence of kinesiophobia was 62.2%. The statistical test revealed that there was a statistically significant positive correlation between TSK score and NAS score (r=460; p<0.001). Furthermore, kinesiophobia was widely prevalent among patients who had avascular necrosis (p<0.001) and among those who underwent physiotherapy (p=0.044). Conclusion There was a high prevalence of kinesiophobia among patients who underwent THA. Pain intensity directly correlated with the presence of kinesophobia.